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Federal forms, ICRs, and supporting documents

Information Collection Request

Qualification and Certification Program (30 CFR 75.100; 75.155; 77.100; and 77.105)

ICR 200003-1219-001 · OMB 1219-0069 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
14436 Qualification and Certification Program (30 CFR 75.100; 75.155; 77.100; and 77.105) Form Migrated
ICR Details
1219-0069 200003-1219-001
Historical Active 199702-1219-001
DOL/MSHA
Qualification and Certification Program (30 CFR 75.100; 75.155; 77.100; and 77.105)
Extension without change of a currently approved collection   No
Regular
Approved without change 05/22/2000
Retrieve Notice of Action (NOA) 03/14/2000
Approved consistent with DOL agreement to add word "optional" near or below the request for the respondent's social security number.
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003 05/31/2000
611 0 670
213 0 233
0 0 0
Provides provisions whereby persons may be temporarily qualified or certified to perform certain duties at coal mines which are related to miner safety and health and which require specialized expertise.
None
None
No
1
IC Title Form No. Form Name
Qualification and Certification Program (30 CFR 75.100; 75.155; 77.100; and 77.105) 5000-4, 5000-7
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 611 670 0 0 -59 0
Annual Time Burden (Hours) 213 233 0 0 -20 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/14/2000